Medical City Dallas

Baylor, Scott & White Plano


How are Custom Orthotics Made?

by Dr. Joel W. Brook
Dr. Joel Brook is a board-certified podiatrist and foot and ankle surgeon at Dallas Podiatry Works in TX.

“Hi, my name is Jordan and I’m one of Dr. Brook’s medical assistants. Today I’m going to be talking to you about custom orthotics. Your doctor may order a pair of custom orthotics based off your condition. Some of the conditions that we treat with orthotics are plantar fasciitis, flatfoot, and Achilles tendinitis. To do a proper orthotic scan we use an electronic force plate that measures the pressures off the bottom of your feet. Jessica, are you ready to help me demonstrate?”

“I’m so ready!”

“So, if you could go ahead and step right in the middle of the box with both feet for me please. I’d like you to stand just like normal – nice and relaxed, feet shoulder-width apart. What you’re seeing on the computer screen is your gait scan, and this is what we send off to the orthotic group to make your custom inserts.

For the second part of the orthotics scan, we’re going to do one foot at a time. I’m going to have you start with the right foot, Jessica. You’re going to walk through the board, just placing your right foot in the middle.

The process of obtaining orthotics is easy. We use information that is transmitted through a lab, so your orthotics may be fabricated. We will call you as soon as your orthotics arrive. When you come in, you don’t need to see the doctor. You can come in and see just one of the medical assistants.

Alright Sydney, so these are going to be your custom inserts, ok? So you’re going to want to wear these as much as possible. When you have your custom insert, you can put them in whatever shoes – I see you have a different variety of shoes here – your cheerleading shoes, running shoes, and your everyday shoes. When you’re breaking in your orthotic, you’re going to want to wear them for about an hour or so the first day. Slowly increase your time – I usually like to say double it, so the second day wear them for about 2-4 hours, and then so forth. After four weeks, Dr. Brook would like to see you guys back in here just to make sure everything is fitting properly. Perfect. So go ahead and try those on for me and tell me how they feel. Do they feel okay?”

“Weird. Different.”

“A little different? Yeah, they’ll take some getting used to, but you’ll start to really love them, I promise. And then there’s a 30 day guarantee, so when she comes back in four weeks to see the doctor, if she has any issues that she’s complaining about, we can definitely give those a tweak for no cost at all.
Awesome! High-five! Good job.

What you saw was a break-in process to a young girl, but the process stays the same for all ages. If you have any questions, please feel free to give us a call. Thank you for being our patient, we’re honored to be part of your healthcare team!”

"I did 3 EPAT treatments and it gave me tremendous relief from my plantar fasciitis. I highly recommend this for anyone who is dealing with PF. Also, the physical therapist Dr. Brook sent me too is fantastic. I am definitely on the mend and so glad I did EPAT."- All H. 5 star all h
"Dr Northcutt is a fantastic physician. My first surgery with him (although painful), went very well. A couple of issues (with his staff) needed to be corrected, I appreciated his calm and professional demeanor and he corrected those issues promptly. He sets the bar high (the mark of a great physician), and that is the key reason why I'm coming back to him to correct my other foot. I would highly recommend him."- She B. 5 star
"The staff at Dallas Podiatry Works could not have been more courteous, helpful, and professional in doing their job. They made me feel comfortable when I was there, which is certainly appreciated. They answered all the questions that I had and just made each visit the most pleasurable that it could be. I would highly recommend them to anyone needing this type of care."- Joseph B. 5 star
"My experience was a good one from pre-op to post -op. I saw the doctor right before my surgery.He explained the process to me and my husband. The recovery nurse was great. It was neither crowded or chaotic as some day surgery centers. My foot is doing well as I follow instructions. I look forward to my one week progress visit!"- Patricia T.5 star
"I had dealt with a painful foot problem for five months and had seen three different Doctors before seeing an article in D Magazine about Dr. Joel Brook. Dr. Brook took one look at my foot, explained the causes for my pain and set me up on a successful treatment plan. He is very knowledgeable, thorough and exhibits a caring attitude. I highly recommend him."- Ginger W. 5 star
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Join the 50,000 happy feet that have found relief at Dallas Podiatry Works! Our Dallas podiatrist and Plano podiatrist provides 5-star-rated foot care and ankle care. Our advanced foot care includes children's foot care, sports-related foot injuries, bunion treatment, bunion removal surgery, toenail fungus treatment, ingrown toenail treatment, hammertoe treatment, claw toe treatment, neuroma treatment, heel pain relief, limb salvage, wound care, arthritis treatment, safe pedicure, medicures, corn removals, callus removals, wart removals and more.
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